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Expert Q&A:
Any suggestions for a 3-year-old who has a tantrum whenever a play date ends?

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Thomas DeWitt
Answered by Thomas DeWitt M.D.
"Understanding each unique family situation, how it influences parenting decisions, and helping families make the right decision is the essence of the practice of pediatrics," says Thomas DeWitt. A pediatrician and academician for almost 30 years, Dr. DeWitt believes that "the greatest professional reward is still the privilege of sharing the challenges of parenting, medically and behaviorally, with families." 

Dr. DeWitt is the Carl Weihl Professor of Pediatrics, director of the Division of General and Community Pediatrics, and associate chair for education in the Department of Pediatrics at the Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine. He received his M.D. degree from the University of Rochester and did his residency, chief residency, and Robert Wood Johnson General Pediatrics Academic Development Fellowship at Yale-New Haven Hospital. He has more than 75 publications, is a senior editor of a pediatric textbook, and is a peer reviewer for many medical journals, including Pediatrics, the New England Journal of Medicine, and the American Journal of Public Health. Having served as president of the Ambulatory Pediatric Association and chaired both the Steering Committee of the American Academy of Pediatrics Pediatric Research in Office Settings (PROS) network and the Committee on Pediatric Education, he currently sits on the United States Preventive Services Task Force and the Accreditation Council for Academic Medical Education Residency Review Committee for Pediatrics. He is nationally and internationally known for his publications and presentations in the areas of faculty development and community-based education and research.

Dr. DeWitt is the father of three young adult children who have taught him much about parenting and perspectives on life. He lives in Cincinnati with his wife, a pastoral counselor, and a wonderful mixed breed dog.


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Question


I have a 3-year-old, and if we are out playing somewhere or have play dates at our home, when it comes time for fun time to end, she throws tantrums. She won't listen to me at all and will cry for one to two hours straight. What can I do? I've done away with all play dates for the time being because she gets so out of control

Answer


Preschoolers and toddlers feel their emotions intensely, but they can't express those strong feelings in words. Instead, when they're feeling emotionally overwhelmed, they express those feelings through their behavior: They have a tantrum. There are a few specific things you can do to help:

First, recognize that this problem will go away once she can tell you how upset or angry or frustrated she is feeling. Tantrums are perfectly normal in a 3-year-old, and even a slightly older child.

 



Second, remember that you should stay calm when she's having a tantrum. If you become upset, it will only make matters worse. Gently pick her up to show that you're in control. Move her to a new location, if only a few feet away. Talk to her calmly.

 



Third, put her frustrations into simple language she understands. "I know that you'd love to stay here and keep playing, but it's time to go home now." "I can see how angry you are. You don't want to say good-bye." This helps your daughter identify her emotions and associate them with words. Eventually, this will help her use words rather than kicks to share her feelings. Lawrence Kutner, Ph.D.

 

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